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Home My WebLink AboutTR-1355Board Of Southold Town Trustees SOUTHOLD, NEW YORK PERMIT NO ..... ~..3..~ .................. DATE: ...AP.~.i..!.......2..~.,... ISSUED TO ' Richard Mo Zeisler ........ ~ ........................................... : ........................................ Pursuant fo' fh.e provisions fha State o{ New York, 1893; and Chapter 404 of the Laws of the State of New York 1952; an({ the Southoid Town Orainance en- titled "REGULATING AND THE PLACING OF OBSTRUCTIONS IN AND .ON TOWN WATERS AND PUBLIC LANDS and the REMOVAL OF SAND, GRAVEL OR OTHER MATERIALS FROM LAND5 UNDER TOWN WATERS;" and in accordance w|fh the Resolution of The Board adopted at a meeting bela on t9..7...8.. .... and in c'onskleratlon of the sum of $....~..0...-..~g.....:... paid by of ...... .S..g.~..o.~.~.. ..................................................... N. Y, aha subiec+ to the Terms and Conditions listed on the reverse slcle hereo{, of Southolcl Town 'Trustees aufhorizes and permits the following: placeme=~; o£ ramp az~ £1oa~s o££ pri~a~e proper~;y o:P. the applicant at ~a~it~c~ Cree~ as ;per appl±ca~;±on all in accordance wlfk the defaiJed specifications as presented the originating application. IN WITNESS WHEREOF, The said Boara o{ Trustees h,ere- by causes ~fs Corporate Seal fo be affixed, and fl~ese presents be subscribed by a maiorify of the said Boarci as of this clat,e. Trt~stees BOARD OF TOWN TRUSTEES Town of Southold Main Road Southold, New York 11971 P/I Rev/6/'/2 1. 'four application, dated ......... ..~..~....]:.y.....2..~...~.....1..9..7...8. ............................... has been reviewed by this Board, at a meeting of the Trustees held on ...0..o.[.~..o.~.e..?....~..,....~..9...7..8.. ....................................................... and resulting in the action, as indicated below: ( ............ ) ( ............ ) Application approved. Application denied. Application tabled. 2. Comments and remarks: 3. If your application is approved above, A' Permit Fee is now due, and should be made payable to the order of the Board of Southold Town Trustees. This fee is computed below according to the Schedule of Rates as set forth in the Instruction Sheet (Form I/1). If the Permit Fee is paid in person to the Secretary of the Board, The Permit will be obtainable at the same time. If the fee is paid by mail, the permit will be mailed in reply. Computation of Permit Fee: Ramp 4 x 12 = 48 sof. $ 4.80 Float 5 x 20 = lO0 s.f. lO.OO Float 4 x 14 - 56 s.q. 5.60 Float 5 x 20 - 100 s.f. lO.O0 $30.40 Less paid 5.00 Due $25. 30.40 Total Fee for this application ............................................................ $ ......................................... Signed Philip G. Horton, President ~ Board of Southold Town Trustees. A/2 - Rev. 6/72 BOARD OF TOWN TRUSTEES Town Of Southold Main Road Southold, New York 11971 APPLICATION FOR FIXED and/or FLOATING DOCKS 1. Applicant's narme ancJ address: .......... !..~...~;~....~...'..~..~. ....... J~., ........ h~...~'..L..~.."~'.~;.'.~ ...................... ~.~....~.~.~. .................... ~.~ .......... ~ .... : .................................................... ~ .............................. ............ 2. Contractor's name and a.ddress: .....6~.i~?..~..((. .....~..~...t.~..b....~. ....... (..~....Cr^ .................................. explain the purpose of this, application: ...~.. ......... ~..~.~ ....... ~.~ ~ J~....r ...... ~ ....... ~ g.~,~, c~.~.~:~ ...... /.~.~.~.~. ~.~ ~...: ............ After issuance of a Permit, I expect to: (mark by an. X~) (a) Com.mence work -- AT ONCE ............ ; ASAP ..~.~.. ..... ; UNKNOWN ............. (b) Co,mplete work in- 1 DAY ..X .... ; 1 MO ............. ; 1 YR ............. ; FUTURE. ............. Secure the correct Area Map from the Secretary of this Board, ,and by using an X WITHIN A CIRCLE indicate as closely as possible the location; of this dock. On the reverse side of this map, provide a SCALE DRAWING which will show Ordinary High Water Mark, the shape and size of the dock and an), supplemental pilings which are needed to hold a floati.ng dock or tie-up a boat. Give all dimensions necessary to determine the area of the dock surface which extends offshore from the O. H.. W. M. Will any portion of this construction extend offshore into 'Town Waters beyond an imaginary line or boundary formed by other similar structures along the area's shoreline? YES or NO. If it does extend beyond this so,called dock line indicate by how far, approximately,. ......... ft. Provide the following documents: (a) A Licensed Engineer's Survey of t'he property involved. (b) A copy of the Contractor's Plans and Specifications. Will this construction require the Filling of any land .offshore of the Ordinary High Water Mark or the Dredging of any material from Town Lands under water? YES or NO. If it does, Form Al4 (Application for Dredging/Filling) must be completed and attached as part of this application. In requesting approval of this application, ~ submit that: the information presented herein is true and correct to the best of my knowledge and belief; I am the person accountable for the performance of the work in accordance with the plans and specifications attached; I have read or am familiar with the provisions o.f any Southold Town Ordinance pertinent to the work involved; and further, I intend to adhere to and abide by the Terms and Conditions of the Permit, when and if issued to me. OE:PARTMENT OF THE ARMY NEW YO~K. g. Y. IO~7 NANOP-E Office of the Supervisor Town of Southold 52092 Main Road Southold).NY 11971 5 Decem~r 1978 9EE 0 7 Gentlemen: We have received a request for a Department of the Army authorization for the following activity: Subject: Construction of a pier for the purpose of mooring a private recreational sail boat West Branch of Mattituck Creek At: Mattituck, Suffolk County, New York Application By: Richard M. Zeisler 4082 Greentree Drive Oceanside, NY 11572 Application No. 78-492 As this work is minor in nature, authorization may be by Letter of Per- mission. This is according to current Federal Regulations governing work in navigable waters of the United States. To accomplish the degree of coordination required for the issuance of a Letter of Permission, your review of, and comment to the inclosed of the subject application is requested. NANOP-E To allow for the timely processing of the subject application, your comments are requested within 20 days of the date of this letter. tncl Sincerely yours, Chief, Regulatory Branch ! I · J J '. LOT AND ADDP, ESS OF APPLICANT ~TELEPN~E N~ Street Address Post Office State Zip Co(lc St~ee~ Addra~s Post O~ice State ~ C~ AGENCY SUBMiTTiNG APPLICAT[ON Pi~OJ ECT BATA LOCATION OF WElL.AND 9,~ ADJACENT AREA, STREA~,% Og BODY OF ~ATER StZa OF ~'Oi~< SECT!CN ~. SPECIFIC IQCATiON . ~. 7, ~i.1. ¢~,~.:~ UTILIZE STA~ TYPE .AND EXTENT OF WORK {Fet~ o~' ~av c[~anael; Cards of mater:a! ro be removed, drainin§, dredging, filiin~ etc.) DOES PRO}EC? CO~'tPL¥ WITH ~ A. Use Gu~d~ines <~i a.:*.y~ i B, Development Restdctioits Of ~ny) t ~F A DAM O~ O5STRL;CT~ON, [ND[CATF ~ ¢( ji:Z, PROPOSED STARTING DATE Plei~ht ~ Size of Pond NAME AND ADDRESS OF ~YO OFFqCM,,L NEWSP~,PERS ~N L~CALITY WFfERE PROf~SED ACTWITY ]S LOCATED CERT1F'2 &T r 1 herebr ~ffir~? u~-:,-,.: L,.. :~-~ oe-;u: :~z ~.x~rrm~,~}.~, ~rov :~eu a~ {~,s form and att attachments ~ubmitt~ hem- with ts true :o :.h? ~,e5: -"' w xr:o*(:cZ&e and be ~et~ -Rise staiL, meq[s made he. in are punishable as a Class&- accepts ';u~l ~ega~ ~os ..... ~:-, far a; damage, 3.~'0-~ or ~nd~e~t, 3( whatever nature, and by who~er DA 'FE ::, / r: ,.: $ICNATURE